A nurse is caring for a client who has COPD. The nurse should identify the client is at
for which of the following acid-base imbalances?
Metabolic Acidosis
Respiratory alkalosis
Metabolic alkalosis
Respiratory acidosis
The Correct Answer is D
A. Metabolic Acidosis: Clients with COPD are more prone to respiratory acid-base imbalances rather than metabolic ones.
B. Respiratory Alkalosis: COPD is characterized by chronic retention of CO₂, leading to acidosis, not alkalosis.
C. Metabolic Alkalosis: Metabolic alkalosis is not commonly associated with COPD.
D. Respiratory Acidosis: Clients with COPD are at risk for respiratory acidosis due to the retention of carbon dioxide (CO₂), which occurs when alveolar ventilation is impaired.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Metabolic Acidosis: Clients with COPD are more prone to respiratory acid-base imbalances rather than metabolic ones.
B. Respiratory Alkalosis: COPD is characterized by chronic retention of CO₂, leading to acidosis, not alkalosis.
C. Metabolic Alkalosis: Metabolic alkalosis is not commonly associated with COPD.
D. Respiratory Acidosis: Clients with COPD are at risk for respiratory acidosis due to the retention of carbon dioxide (CO₂), which occurs when alveolar ventilation is impaired.
Correct Answer is C
Explanation
A. Apply friction when drying the client's skin. Friction can damage the skin, especially in clients with incontinence who are at risk for skin breakdown.
B. Use soap to clean the client's skin. Soap can be drying and irritating to the skin. pH-balanced cleansers are preferred to maintain skin integrity.
C. Apply a barrier cream to the client's skin. Barrier creams protect the skin from moisture, reducing the risk of skin breakdown and irritation from incontinence.
D. Use hot water to clean the client's skin. Hot water can dry out and damage the skin. Warm water should be used instead to gently clean the skin.
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